13D0646351 CLIA NUMBER - INTERMOUNTAIN HOSPITAL

Laboratory Demographics

  • CLIA Code: 13D0646351
  • Facility Name: INTERMOUNTAIN HOSPITAL
  • Facility Address: 303 N ALLUMBAUGH ST
    BOISE, ID
    ZIP 83704
  • Facility Phone: 208 350-2281
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: KRISTINA HARRINGTON
  • NPI Number: 1144334525
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 13D0646351
LAB Type Independent
Facility Name INTERMOUNTAIN HOSPITAL
Street 303 N ALLUMBAUGH ST
City BOISE
State ID
ZIP 83704
Phone 208 350-2281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Independent
Lab Director KRISTINA HARRINGTON

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This page was last updated on: 9/29/2025